Sacrectomy and Spinopelvic Reconstruction

UMMS Affiliation

Department of Orthopedics and Physical Rehabilitation

Publication Date


Document Type



Spine; Pelvis; Surgical Procedures, Operative; Spinal Neoplasms; Bone Neoplasms


Orthopedics | Rehabilitation and Therapy


Patients with malignant lumbosacral pelvic lesions present a difficult surgical challenge. Because of the insidious onset of symptoms, lesions are often diagnosed late in their course, and by that time they have attained a large size. Surgical resection is made more difficult by the complex surrounding anatomy and involvement of the sacral nerves responsible for bowel, bladder, and sexual function. Spinopelvic reconstruction is often required after resection. This article presents techniques for sacral resection and subsequent spinopelvic reconstruction. Biomechanical studies are summarized on construct stability, and recommendations are made as to when reconstruction is required. The expected bowel and bladder functional outcomes are summarized, based on the level of sacral resection.

DOI of Published Version



Eck JC, Yaszemski MJ, Sim FH. Sacrectomy and Spinopelvic Reconstruction. Semin Spine Surg. 2009 21(2): 99-105. Link to article on publisher's website

Journal/Book/Conference Title

Seminars in Spine Surgery